Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders This week,

  

  Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders

This week, you explore psychotic disorders, including schizophrenia. You also explore medication-induced movement disorders and formulate a diagnosis for a patient in a case study.

Learning Objectives

Students will:

  • Apply concepts, theories, and      principles related to patient interviewing, diagnostic reasoning, and      recording patient information
  • Formulate differential      diagnoses using DSM-5-TR criteria for patients with      schizophrenia, other psychotic disorders, and medication-induced movement      disorders across the life span

 Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.

For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.

  • Review this week’s Learning Resources and consider the insights      they provide about assessing and diagnosing psychotic disorders. Consider      whether experiences of psychosis-related symptoms are always indicative of      a diagnosis of schizophrenia. Think about alternative diagnoses for      psychosis-related symptoms.
  • Download the Comprehensive Psychiatric      Evaluation Template, which you will use to complete this Assignment. Also      review the Comprehensive Psychiatric Evaluation Exemplar to see an      example of a completed evaluation document. 
  • By Day 1 of this week, select a specific video      case study to use for this Assignment from the Video Case Selections      choices in the Learning Resources. View your assigned video case and      review the additional data for the case in the “Case History Reports”      document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to      collect from this patient.
  • Consider what interview questions you would      need to ask this patient.
  • Identify at least three possible differential      diagnoses for the patient. 

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

  • Subjective: What details did      the patient provide regarding their chief complaint and symptomology to      derive your differential diagnosis? What is the duration and severity of      their symptoms? How are their symptoms impacting their functioning in      life? 
  • Objective: What observations      did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s      mental status examination results. What were your differential diagnoses?      Provide a minimum of three possible diagnoses with supporting evidence,      listed in order from highest priority to lowest priority. Compare the      DSM-5-TR diagnostic criteria for each differential diagnosis and explain      what DSM-5-TR criteria rules out the differential diagnosis to find an      accurate diagnosis. Explain the critical-thinking process that led you to      the primary diagnosis you selected. Include pertinent positives and      pertinent negatives for the specific patient case.
  • Reflection notes: What would      you do differently with this client if you could conduct the session      over? Also include in your reflection a discussion related to      legal/ethical considerations (demonstrate critical thinking beyond      confidentiality and consent for treatment!), health promotion and disease      prevention taking into consideration patient factors (such as age, ethnic      group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background,      etc.).

References

https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.Medication_Induced_Movement_Disorders

https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x02_Schizophrenia_Spectrum

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. 

  • Chapter 7, Schizophrenia Spectrum and Other Psychotic      Disorders
  • Chapter 29.2, Medication Induced-Movement Disorders
  • Chapter 31.15, Early-Onset Schizophrenia

https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/schizophrenia-and-other-psychotic-disorders

https://www.youtube.com/watch?v=BdB6MgWAP1k

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